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Individual

KAVIT B SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2801 W KINNICKINNIC RIVER PKWY STE 680, MILWAUKEE, WI 53215-3633
(414) 385-1922
(414) 385-1899
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 385-1922
(414) 385-1899

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036171267
IL
2084V0102X
Vascular Neurology Physician
Primary
20561
WI
2084V0102X
Vascular Neurology Physician
MD467191
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100171343
WI
Enumeration date
04/03/2014
Last updated
11/15/2024
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